Provider Demographics
NPI:1497009567
Name:GREER, EUNECE (LPC, NCC, MAC)
Entity Type:Individual
Prefix:
First Name:EUNECE
Middle Name:
Last Name:GREER
Suffix:
Gender:F
Credentials:LPC, NCC, MAC
Other - Prefix:
Other - First Name:FAYE
Other - Middle Name:GREER
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, NCC, MAC
Mailing Address - Street 1:6829 SEARCH LIGHT TRL
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-7538
Mailing Address - Country:US
Mailing Address - Phone:404-808-3639
Mailing Address - Fax:
Practice Address - Street 1:2268 MOUNT ZION RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2528
Practice Address - Country:US
Practice Address - Phone:404-804-3639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004450101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional